Is it true that an elevated hematocrit level on TRT does not require blood donation?

[t_spacemonkey]

Is this true? What do you guys think?

 

[BigTex]

Mine in September was 50.4 and my doctor order a blood dump. I have not gone and will not. He can't discontinue my testosterone since I am using UG test U and he knows it. He always gives me his advice and knows I am going to do what I see best. My platelet count is in the medium range at 283, BBC and hemoglobin are all in the normal range, as is white blood cells.

This is Dr. Andrew Winge

 

[t_spacemonkey]

he mentioned of people running HTC at avg 60 in some city at 15k feet elevation or so, there is a study
my general doc told me I will die if i keep it at 53

 

[BigTex]

I agree with this doctor that probably 54 (for now) is the limit. I know I had 59 and went to dump blood and my bool was so thick it shut down the machine several times. That made me kind of nervous.

 

[maxadvance]

Much talked about subject when Dr Crisler was still alive and purporting how Dr Neal Rozier felt very strongly about not donating with high hematocrit. Main argument being that the platelets remain low while RBC is elevated. May be true up to about 55, but beyond that blood pressure and general feeling is crappy.

 

[madman]

Most doctors in the know would not recommend donating or lowering your T dose unless your hematocrit hits 52-54%.

Yes, there are some who prefer not letting it get too far past the top-end reference range but again whether one is experiencing any negative sides comes into play.

54% is considered the cut-off!

This sums it up and this is coming from one who would be considered the father of testosterone!

This is f**KING GOLD!


* No need to intervene unless hct>54%

* If >54% would definitely do something

Testosterone Replacement and Erythrocytosis

Management of erythrocytosis during TRT

Dear Editor, Testosterone is the primary sex hormone and anabolic steroid in men. It is a widely used drug which is used by males as an anabolic–androgenic steroid but it is also the cornerstone in treatment of both hypogonadal men and transgender people. This letter will focus on the use of...

www.excelmale.com

post #13
Low Testosterone in Men: Recommendations on the diagnosis, treatment and monitoring

Take-home points

*The clinical significance of a hematocrit >54% is unknown

*Although it is not yet clear what upper limit of hematocrit level is clinically desirable, dose adjustments may be necessary to keep hematocrit below 52–54%

 

[Keepfit1]

Much talked about subject when Dr Crisler was still alive and purporting how Dr Neal Rozier felt very strongly about not donating with high hematocrit. Main argument being that the platelets remain low while RBC is elevated. May be true up to about 55, but beyond that blood pressure and general feeling is crappy.

Rosier is talking rubbish, platelets having little to do with it, I have polycythaemia Vera since 13 years and have consulted many of the worlds experts Haematologit’s. It’s the Hct or Hgb or RBC that are the main culprits for clotting, WBC a bit maybe, platelets are not usually treated or a concern unless weLL over 1 million unless symptomatic or other relevant health risks

 

[maxadvance]

It's a lot of things, but it's hardly rubbish. There's a reason anti-platelet meds like Effien are prescribed for anyone(as in 100%) with a cardiac event, it is to prevent clotting. Had a stent implant? Instant multi year scrip for anti-platelet meds.

 

[Systemlord]

Comorbidities is what causes harm, not so much the hematocrit value.

I once had an HCT at 57% and my endo was advised to do nothing unless I had specific symptoms.

Things are starting to change, one doctor at a time.

 

[madman]

Comorbidities is what causes harm, not so much the hematocrit value.

I once had an HCT at 57% and my endo was advised to do nothing unless I had specific symptoms.

Things are starting to change, one doctor at a time.

This is ridiculous.

54% is considered the cutoff and the top guns in the field such as Dr. Morgentaler, Khera, Ramasamy, and many others preach this!

 

[madman]

Comorbidities is what causes harm, not so much the hematocrit value.

I once had an HCT at 57% and my endo was advised to do nothing unless I had specific symptoms.

Things are starting to change, one doctor at a time.

Go push that shit on bumnation!

 

[maxadvance]

Any endo seeing a hematocrit of 57 is not sitting on his hands, not one. Instant red flag.

 

[Systemlord]

Any endo seeing a hematocrit of 57 is not sitting on his hands, not one. Instant red flag.

A hematologist told my endo 57% HCT was fine as long as there are no symptoms. My endo to this day is still freaked out by my 51% HCT, likely because of the confirmation bias -> polycythemia vera data.

My endo can't differentiate between a man on TRT with 51% hematocrit and a person living at high altitude with the same HCT levels, same condition, he thinks the situations aren't identical.

This is a doctor specializing in hematology, which carries more weight than a doctor operating outside his scope of medicine.

 

[Keepfit1]

It's a lot of things, but it's hardly rubbish. There's a reason anti-platelet meds like Effien are prescribed for anyone(as in 100%) with a cardiac event, it is to prevent clotting. Had a stent implant? Instant multi year scrip for anti-platelet meds.

there may be some relevance in specialist situations like you mention but what we are talking about on this thread is about high Hct due to TRT, trust me its the Hct or Hgb or Rbc that if increased will cause thrombotic risk not platelets, ask any haematologist , Ive read that Rosier thing saying its platelets not Hct and its simply not correct, Ive seen every expert haem you can imagine and its not the platelets so what Rosier wrote is simply incorrect and misleading and irresponsible if you dont want to use the word rubbish, opinions may vary bu the basics of haematology remain the same

 

[FunkOdyssey]

I once had an HCT at 57% and my endo was advised to do nothing unless I had specific symptoms.

Readalot must be rolling in his grave. Lol

 

[Guided_by_Voices]

I'll ask the same question I asked on another thread and never got an answer to, which is why is this even an issue since we should all be donating blood regularly, both for community service reasons as well as anti-aging reasons?

 

[Systemlord]

Readalot must be rolling in his grave. Lol

He probably will spill his coffee and fall backwards out of his chair reading this post.

 

[t_spacemonkey]

so the tldr is keep it under 54? im reading that donating doesnt do much since it returns to high baseline within weeks plus it tanks ferritin.

 

[GreenMachineX]

Readalot must be rolling in his grave. Lol

Readalot died????

 

[GreenMachineX]

I'll ask the same question I asked on another thread and never got an answer to, which is why is this even an issue since we should all be donating blood regularly, both for community service reasons as well as anti-aging reasons?

Because when we donate too frequently we crash our ferritin.